Classifying asthma severity and treatment determinants: national guidelines revisited

  • R Khajotia
Keywords: Asthma severity, guidelines, airway inflammation

Abstract

Bronchial asthma is an inflammatory disease of the airways manifested physiologically by a widespread narrowing of the airpassages. Being an inflammatory disease of the airways, the most effective treatment available for the management ofbronchial asthma are anti-inflammatory agents such as corticosteroids. However, it is known that at higher dosage levels,even inhaled corticosteroids have harmful systemic side-effects. Hence, justification of use of high-dose of inhaledcorticosteroids can only be made if patients with severe asthma can be accurately identified. For this precise reason, methodshave been devised to categorize asthma severity through various National Asthma Management Guidelines. The presentguidelines predominantly stress on symptoms and lung functions as the yardstick for determining the severity of asthmaattacks and parameters determining airway inflammation have not yet been incorporated into them. However, these guidelineshave proved to be fairly accurate in determining asthma severity and in guiding the treatment in these patients and allhealthcare personnel are strongly advised to follow them. It is hoped that future guidelines may incorporate measures ofinflammation as well, in order to further improve the diagnostic and treatment modalities in these patients

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Published
2008-12-31
How to Cite
KhajotiaR. (2008). Classifying asthma severity and treatment determinants: national guidelines revisited. Malaysian Family Physician, 3(3), 6. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/316
Section
Original Articles